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Individual

ROBERT D TATOIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
74 PALOMBA DR, ENFIELD, CT 06082-3858
(860) 253-9190
(860) 253-0047
Mailing address
74 PALOMBA DR, ENFIELD, CT 06082-3858
(860) 253-9190
(860) 253-0047

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000436
CT
213E00000X
Podiatrist
1803
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004069464
CT
Enumeration date
08/16/2006
Last updated
03/26/2009
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